HCPCS Q4197

Puraply xt, per square centimeter (CMS descriptor)

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

131
68th percentile among 6,326 codes billed · 2022
$77M
97th percentile among 6,326 codes billed · 2022
370K
92nd percentile among 6,326 codes billed · 2022
1,775
97th percentile among 6,326 codes billed · 2022
8,103
97th percentile among 6,326 codes billed · 2022
+64.1%
Medicare payment on the code vs 2021; billers +42.4% · 2022

Trend

Medicare payment on the code

$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M$0$50M2020: $9.7M paid20202021: $47M paid20212022: $77M paid20222023: $19M paid20232024: $8.4M paid2024$8.4M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

0501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers2024610501002020: 29 providers20202021: 92 providers20212022: 131 providers20222023: 82 providers20232024: 61 providers202461

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Trend by year: table5 years
observed calculated calculated calculated calculated calculated reported
202461$8,398,004-57%100,5671,1983,4760.00
202382$19,374,763-75% (2023 changed hospital and observation visit codes)150,7761,4155,6390.00
2022131$77,359,513+64%369,8541,7758,1030.00
202192$47,127,541– (Not compared: 2021 changed office visit values)223,4242,1205,4550.00
202029$9,738,490first year in data47,5831,3443,5060.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

Show the table by state3 states
observed calculated calculated calculated calculated calculated
Florida40$23,458,600112,3811,8138,530
Texas14$13,377,05162,5072,72815,274
Oklahoma12$10,082,31548,0273,5978,013

Not listed: 18 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2022.

Top metro areas

Show the metro areas1 areas
observed calculated calculated calculated calculated
Miami-Fort Lauderdale-West Palm Beach, FL12$6,474,40331,0472,657

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing Q4197 nationally

Podiatry accounts for 32% of payment for Q4197 nationally in 2022, across 3 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry4937%$25,120,30632%120,5932,461
Dermatology3527%$19,087,52225%91,6422,618
Nurse Practitioner2116%$10,539,13314%51,0802,432

Not listed: 11 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2022.

Top billers of Q4197 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations